Sexual and gender diverse youth (SGDY) are at greater risk for adolescent relationship abuse (ARA) than cisgender heterosexual youth, but there are not enough evidence-based interventions for reducing ARA among SGDY. We piloted online human-centered design (HCD) methodology to engage SGDY in generating ARA intervention ideas. This study evaluated the acceptability, appropriateness, and feasibility of the online methods and identified SGDY-derived intervention ideas for reducing ARA. From August 2020 through March 2021, we conducted a longitudinal online HCD study with 46 SGDY (aged 14–18 years) recruited via social media from across the United States. SGDY completed HCD activities using MURAL (collaborative digital whiteboard) in four group-based sessions (1.5 hours each) and a follow-up survey with validated measures of acceptability, appropriateness, and feasibility (a priori success benchmarks: means > 3.75 on each five-point scale). SGDY in the sample were 41% racial/ethnic minorities. SGDY rated the online HCD methods as highly acceptable, appropriate, and feasible (means ≥ 4.29). SGDY co-created a breadth of ARA intervention concepts across all social-ecological levels, including commonplace ideas (e.g., curriculum for schools) and novel ideas, such as social media–based interventions to foster healthy relationships, incentivization interventions for performing social justice work, and school plays with SGDY storylines. Online HCD methods are acceptable, appropriate, and feasible for designing ARA intervention ideas. The intervention ideas generated in this study can help catalyze ARA intervention research for SGDY. Our method can be transported to other populations and health topics to help advance adolescent health and equity.

中文翻译：

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在线以人为本的设计方法对于性和性别多样化的青少年产生青少年关系虐待干预理念是可接受的、适当的和可行的


性和性别多样化青少年 (SGDY) 比顺性别异性恋青少年面临更大的青少年关系虐待 (ARA) 风险，但没有足够的循证干预措施来减少 SGDY 中的 ARA。我们试行了在线以人为本的设计 (HCD) 方法，让 SGDY 参与产生 ARA 干预想法。本研究评估了在线方法的可接受性、适当性和可行性，并确定了 SGDY 衍生的减少 ARA 的干预思路。从 2020 年 8 月到 2021 年 3 月，我们通过社交媒体从美国各地招募了 46 名 SGDY（14-18 岁），进行了一项纵向在线 HCD 研究。 SGDY 使用 MURAL（协作数字白板）在四次小组会议（每次 1.5 小时）中完成了 HCD 活动，并进行了一项后续调查，其中包含经过验证的可接受性、适当性和可行性衡量标准（先验成功基准：意味着每次 > 3.75）五点制）。样本中的 SGDY 是少数族裔/族裔，占 41%。 SGDY 将在线 HCD 方法评为高度可接受、适当和可行（均值≥ 4.29）。 SGDY 共同创建了涵盖所有社会生态层面的广泛的 ARA 干预概念，包括常见的想法（例如学校课程）和新颖的想法，例如基于社交媒体的干预措施以促进健康的关系，激励干预措施以开展社会正义工作，学校播放 SGDY 故事情节。在线 HCD 方法对于设计 ARA 干预思路是可以接受的、适当的、可行的。本研究产生的干预思路可以帮助催化 SGDY 的 ARA 干预研究。我们的方法可以应用于其他人群和健康主题，以帮助促进青少年的健康和公平。